Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $6,423.00 / $18,483.00	Facility		$1,169.00	$6,423.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,970.60	Facility		$67.90	$100.00	$4,970.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,091.68 / $3,039.51	Facility		$633.00	$1,091.68	$3,039.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $213.72 / $288.52	Professional		$169.77	$213.72	$288.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $235.09 / $438.37	Professional		$179.33	$235.09	$438.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,278.14 / $4,901.45	Facility		$55.00	$4,278.14	$4,901.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.77 / $239.11 / $381.48	Facility		$187.77	$239.11	$381.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $3,982.00 / $12,135.00	Facility		$1,800.00	$3,982.00	$12,135.00